Request a Speaker

Would you like someone from Lifeline to come speak to your church or group? We would love to share more with you about our mission to save and change lives. We have a variety of speakers, presentations, booth displays, and support materials that we can bring to any event. Fill out the form below to get started.

Organization*
Contact Person*
First Last
Phone*
Email*
Presentation Date
Presentation Time

: Hours

Minutes

AM/PM
Estimated attendance
Topic Requested
Do you have a specific topic or theme you would like us to speak on?
Booth Request
Would you like us to set up a table or booth at your event?
- Yes
- No
- Unsure
Phone
This field is for validation purposes and should be left unchanged.

Request a Speaker

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